HomeMy WebLinkAbout323 W Drake Rd - Applications/Tenant Finish - 02/28/2007BUILDING PERMITS & INSPECTIONS DIVISION I ��
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION,.g,�3
APPLICATION NUMBER 11 �/U 7 APPLICATION DATE �w) V q
Job Site Address angs to. Unit # !Z
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # %
Last Name �����{��It] IrFirst Name Middle ^�-'
Street Address ?�� A1Q6 Cit �L�L_' � State-6-0 ZZiipA5��
CONTRACTOR INFO: Company Name � � �� Contractor Phone #, r� q-0662�_
Lic. Holder Name-po Yf� City of Fort Collins License #G if, -l— Supervisor Cert #
Mailing Address i4g)6U4!Z'City State Zip
LEGALINFO:
Subdivision/PUD�� iling #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Lot # Block # Lot Sq
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 3/< Baths Yz Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size
List appropriate option #s
v) F 4
Metered: Yes or No 8 Qe7p. Pedestal:OYes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $igFit':;�
Description rr. �T�iiil�ll�!�''Zt!������r�ii�����inv��ri:��r►,�t��
Contact Name & Phone # of JOBSITE SUPERVISOR: t �YE SG N l d0 1 ' d 5lO(�
Subcontractor Info,
Electrical 44 gp 4 Mechanical �� PlumbingA/E
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that I have read this pplication and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordirF3nces'5p4-9ra-9 laws regulating building construction.
Applicant Signature i Print Name �iGl Phone- &'&4
Distribute n: W ite - Offic Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
City of Fort Collins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
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Commercial Construction Application Information
Revised March 6, 2006
Application Number:
Job Site Address:325 W, 12F.A4a Unit # I W
New Building Addition Remodel/TF L---�
Name of Business: CLAY R51
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: OCC)
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? OiEaL
❑ If for a new tenant, is this the first tenant to occupy this
space?�
o If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known)
❑ Are there any exterior elevation changes associated with the
work? L ) A---3
Signature
12,
'Name (Please print)
z-1 42o�
Date
Local daytime phone #